CLIA lab
CLIA 04D2286053: Triple Crown Urology - Mena
Mena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2286053 belongs to Triple Crown Urology - Mena in Mena, AR.
Certificate of Waiver, effective July 24, 2025, expires July 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 24, 2025
- Certificate expiration
- July 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 24, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2286053
- Lab name
- Triple Crown Urology - Mena
- Additional name
- American Oncology Partners PA
- Address
- 400 Crestwood Circle Suite G, Mena, AR 71953
- Phone
- (501) 525-4555
- Fax
- (501) 525-4685
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mena, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2268877
- All About You HealthcareCertificate of Waiver, Physician office04D2259318
- Arhealth First Family Clinic PLLCCertificate of Waiver, Physician office04D2338344
- Arkansas Pain TherapyCertificate of Registration, Physician office04D2321450
- Buschman Internal MedicineCertificate of Waiver, Physician office04D2350919
- Cavhs Mena CbocCertificate of Accreditation, Community clinic04D2142428
- Elite Home HealthCertificate of Waiver, Home health agency04D0699025
- Elite HospiceCertificate of Waiver, Hospice04D1089809
- Ellison Family PharmacyCertificate of Waiver, Pharmacy04D2285951
- Freedom Pharmacy LLCCertificate of Waiver, Pharmacy04D2182819
Related
Questions
What is the CLIA number for Triple Crown Urology - Mena in Mena?
04D2286053, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Triple Crown Urology - Mena hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2286053 expire?
The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.